Health New Zealand Te Whatu Ora Shared Care FHIR API
0.4.1 - release New Zealand flag

Health New Zealand Te Whatu Ora Shared Care FHIR API - Local Development build (v0.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

ValueSet: Pharmacy Adjudication Category

Official URL: https://fhir-ig.digital.health.nz/shared-care/ValueSet/pharmacy-adjudication-category Version: 0.4.1
Active as of 2025-08-31 Computable Name: PharmacyAdjudicationCategoryValueSet

Categories for pharmacy claim adjudication amounts

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Pharmacy Adjudication Category Code System v0.4.1 (CodeSystem)

This value set contains 7 concepts

CodeSystemDisplayDefinition
  drugcosthttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryDrug CostCost of the pharmaceutical drug
  markupshttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryMarkupsMarkup amounts applied
  pharmaceuticalsubsidyhttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryPharmaceutical SubsidyGovernment pharmaceutical subsidy amount
  copayhttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryCo-paymentPatient co-payment amount
  professionalfeeshttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryProfessional FeesProfessional service fees
  amountpaidhttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryAmount PaidTotal amount paid
  packsizehttps://standards.digital.health.nz/ns/pharmacy-adjudication-categoryPack SizePackage size information

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code